中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
30期
5525-5530
,共6页
骨关节植入物%骨与关节综述%传染性非典型肺炎%后遗症%股骨头坏死%骨缺血%病因%传染性非典型肺炎病毒%保守治疗%手术治疗%全髋置换
骨關節植入物%骨與關節綜述%傳染性非典型肺炎%後遺癥%股骨頭壞死%骨缺血%病因%傳染性非典型肺炎病毒%保守治療%手術治療%全髖置換
골관절식입물%골여관절종술%전염성비전형폐염%후유증%고골두배사%골결혈%병인%전염성비전형폐염병독%보수치료%수술치료%전관치환
bone and joint implants%review of bone and joint%severe acute respiratory syndrome%sequelae%femoral head necrosis%bone ischemia%etiology%infectious atypical pneumonia virus%conservative treatment%surgical treatment%total hip arthroplasty
背景：大部分非典型肺炎患者在康复早期出现了不同程度的髋关节滑囊炎并逐步发展为股骨头坏死。目的：分析非典型肺炎后遗症股骨头坏死各种病因，并介绍股骨头坏死治疗方法。方法：由第一作者应用计算机检索 PubMed、中国期刊全文数据库(CNKI)、维普数据库和万方数据库1997年1月至2012年8月相关文献。在标题、摘要、关键词中以“传染性非典型肺炎，后遗症，股骨头坏死，骨缺血，病因，传染性非典型肺炎病毒，保守治疗，手术治疗，全髋置换”或“infectious atypical pneumonia sequela, femoral head necrosis, bone ischemia, etiology, infectious atypical pneumonia virus, conservative treatment, operation treatment, total hip replacement”为检索词进行检索，初检得到872篇，最终选择56篇文献进行综述。结果与结论：传染性非典型肺炎后遗症股骨头坏死与患者在治疗过程中使用激素剂量大小、使用时间长短、患者对激素敏感程度及使用的方法及患者本身分泌的瘦素及骨降钙素量的多少有密切关系，还与传染性非典型病毒本身的作用有密切关系。由于这些病因导致股骨头坏死，先采用保守治疗减慢股骨头坏死的进程，延迟假体的置换，最终大部分患者还是采用手术治疗，传染性非典型肺炎后遗症股骨头坏死晚期置入假体置换是治疗股骨头坏死最好的结果。
揹景：大部分非典型肺炎患者在康複早期齣現瞭不同程度的髖關節滑囊炎併逐步髮展為股骨頭壞死。目的：分析非典型肺炎後遺癥股骨頭壞死各種病因，併介紹股骨頭壞死治療方法。方法：由第一作者應用計算機檢索 PubMed、中國期刊全文數據庫(CNKI)、維普數據庫和萬方數據庫1997年1月至2012年8月相關文獻。在標題、摘要、關鍵詞中以“傳染性非典型肺炎，後遺癥，股骨頭壞死，骨缺血，病因，傳染性非典型肺炎病毒，保守治療，手術治療，全髖置換”或“infectious atypical pneumonia sequela, femoral head necrosis, bone ischemia, etiology, infectious atypical pneumonia virus, conservative treatment, operation treatment, total hip replacement”為檢索詞進行檢索，初檢得到872篇，最終選擇56篇文獻進行綜述。結果與結論：傳染性非典型肺炎後遺癥股骨頭壞死與患者在治療過程中使用激素劑量大小、使用時間長短、患者對激素敏感程度及使用的方法及患者本身分泌的瘦素及骨降鈣素量的多少有密切關繫，還與傳染性非典型病毒本身的作用有密切關繫。由于這些病因導緻股骨頭壞死，先採用保守治療減慢股骨頭壞死的進程，延遲假體的置換，最終大部分患者還是採用手術治療，傳染性非典型肺炎後遺癥股骨頭壞死晚期置入假體置換是治療股骨頭壞死最好的結果。
배경：대부분비전형폐염환자재강복조기출현료불동정도적관관절활낭염병축보발전위고골두배사。목적：분석비전형폐염후유증고골두배사각충병인，병개소고골두배사치료방법。방법：유제일작자응용계산궤검색 PubMed、중국기간전문수거고(CNKI)、유보수거고화만방수거고1997년1월지2012년8월상관문헌。재표제、적요、관건사중이“전염성비전형폐염，후유증，고골두배사，골결혈，병인，전염성비전형폐염병독，보수치료，수술치료，전관치환”혹“infectious atypical pneumonia sequela, femoral head necrosis, bone ischemia, etiology, infectious atypical pneumonia virus, conservative treatment, operation treatment, total hip replacement”위검색사진행검색，초검득도872편，최종선택56편문헌진행종술。결과여결론：전염성비전형폐염후유증고골두배사여환자재치료과정중사용격소제량대소、사용시간장단、환자대격소민감정도급사용적방법급환자본신분비적수소급골강개소량적다소유밀절관계，환여전염성비전형병독본신적작용유밀절관계。유우저사병인도치고골두배사，선채용보수치료감만고골두배사적진정，연지가체적치환，최종대부분환자환시채용수술치료，전염성비전형폐염후유증고골두배사만기치입가체치환시치료고골두배사최호적결과。
BACKGROUND:Majority of patients appeared different degrees of hip joint bursitis and gradual y developed into femoral head necrosis in the early rehabilitation process of severe acute respiratory syndrome. OBJECTIVE:To analyze various causes of the severe acute respiratory syndrome sequela, and to review the treatment method of femoral head necrosis. METHODS:The PubMed database, China Journal Ful-text database (CNKI), VIP database and Wanfang database were retrieved by the first author with computer for the related articles from January 1997 to August 2012. The key words of“infectious atypical pneumonia, sequela, femoral head necrosis, bone ischemia, etiology, infectious atypical pneumonia virus, conservative treatment, operation treatment, total hip replacement”in English and Chinese were put in the title and abstract to search articles. A total of 872 articles were screened out after primary retrieval, and eventual y 56 articles were included for review. RESULTS AND CONCLUSION:Severe acute respiratory syndrome sequela, femoral head necrosis, was related with the dose and duration of hormone, patient’s sensitivity to hormone, using method, the secretion of leptin and bone calcitonin, and also infectious atypical pneumonia virus. The femoral head necrosis caused by the above factors can be treated with conservative treatment to slow down the process of femoral head necrosis and delay prosthesis replacement. Eventual y, most of the patients wil receive surgical method. For the treatment of advanced severe acute respiratory syndrome sequelae femoral head necrosis, prosthesis replacement can get the best effect.
